What to Expect in an Immigration Physical Exam?

If you’re applying for a green card, adjustment of status, or certain types of visas, you’ll need to complete an immigration medical exam. This medical examination is a mandatory requirement by USCIS (U.S. Citizenship and Immigration Services) to ensure that applicants do not have any health-related conditions that could make them inadmissible to the United States.

At LocalMD, our USCIS-approved civil surgeons perform thorough immigration physicals to help applicants meet all requirements efficiently. In this comprehensive guide, we’ll break down everything you need to know about the immigration medical exam, including what’s included, how to prepare, and what happens after the exam.

Why Is the Immigration Medical Exam Required?

The immigration medical exam is designed to protect public health and ensure that applicants do not pose a risk due to:

• Communicable diseases (such as tuberculosis, syphilis, and COVID-19)

• Missing vaccinations (required by the Centers for Disease Control and Prevention)

• Physical or mental health disorders that could be a danger to others

• Drug abuse or addiction

If an applicant has any of these conditions, they may be deemed inadmissible on health-related grounds. However, some conditions can be waived, so it’s important to consult with a civil surgeon for guidance.

Who Needs an Immigration Medical Exam?

The following individuals must undergo an immigration physical:

• Green card applicants (Form I-485)

• K-1 fiancé(e) visa applicants

• Refugees and asylees adjusting their status

• Certain nonimmigrant visa applicants (if required)

If you’re applying for a green card, you must submit a completed Form I-693 (Report of Medical Examination and Vaccination Record) along with your application.

What’s Included in the Immigration Medical Exam?

The immigration medical exam consists of several key components to ensure compliance with USCIS and CDC guidelines.

1. Medical History Review

The civil surgeon will ask detailed questions about your:

• Past illnesses, surgeries, or hospitalizations

• Current medications

• History of mental health conditions

• Drug or alcohol abuse history

• Chronic medical conditions (such as diabetes or hypertension)

Be honest during this review—withholding information could lead to delays or denial of your application.

2. Physical Examination

A full physical examination will be conducted to assess:

• Heart, lung, and blood pressure function

• Eyes, ears, nose, and throat

• Neurological and musculoskeletal health

• Signs of physical or mental disorders

The doctor will check for any conditions that could affect your eligibility for a green card or visa.

3. Required Vaccinations

USCIS follows CDC vaccination requirements, which include:

If you don’t have proof of vaccinations, you may need to get them during your exam.

4. Lab Tests & Screenings

Several tests are required to check for specific diseases:

A. Blood Test for Syphilis

• Required for applicants 15 years and older

• Detects syphilis, a sexually transmitted infection

B. Tuberculosis (TB) Testing

• TB skin test or blood test (for applicants 2+)

• If positive, a chest X-ray is required to rule out active TB

C. Urine Test for Gonorrhea

• Required for applicants 15 years and older

D. Drug and Alcohol Screening

• The civil surgeon will ask about drug or alcohol abuse

• A urine drug test may be conducted

5. Mental Health Evaluation

The doctor will assess for:

• Psychiatric disorders (such as schizophrenia or bipolar disorder)

• History of harmful behavior (if applicable)

Most mental health conditions do not make you inadmissible unless they pose a threat.

How to Prepare for Your Immigration Medical Exam

To ensure a smooth process, follow these steps:

1. Bring the Necessary Documents

• Valid passport or government-issued ID

• Vaccination records (if available)

• Medical records (if you have a chronic condition)

• Form I-693 (if not completed by the doctor)

• Payment for the medical exam (cost varies)

2. Fast Before the Exam (If Required)

Some tests (like blood work) may require fasting—check with your civil surgeon beforehand.

3. Dress Comfortably

Wear loose-fitting clothing for the physical examination.

4. Be Honest About Your Medical History

Lying about drug use, mental health, or past illnesses can lead to denial of your application.

What Happens After the Immigration Medical Exam?

After completing the exam, the civil surgeon will:

1. Fill out Form I-693 with your results.

2. Seal the form in an envelope (you must not open it).

3. Give you a copy for your records.

You must submit the sealed envelope to USCIS with your green card application.

How Long Is the Immigration Medical Exam Valid?

• The exam is valid for 2 years from the date the civil surgeon signs it.

• If you submit Form I-485 within 60 days of the exam, the results remain valid indefinitely.

Common Reasons for Failing the Immigration Medical Exam

Some applicants may be deemed inadmissible due to:

• Active tuberculosis (TB)

• Untreated syphilis

• Missing required vaccinations

• Drug addiction or abuse

• Certain mental health disorders with harmful behavior

If you fail the exam, you may apply for a waiver in some cases.

How Much Does the Immigration Medical Exam Cost?

The medical exam cost varies depending on:

• Location (prices differ by clinic)

• Required lab tests

• Vaccinations needed

At LocalMD, we offer affordable and transparent pricing for immigration physicals.

Need an Immigration Medical Exam in NYC? Visit LocalMD!

At LocalMD, our USCIS-approved civil surgeons provide:
✅ Same-day appointments
✅ Affordable pricing
✅ Fast and accurate results
✅ Convenient NYC locations

📞 Book Your Immigration Medical Exam Today!
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Don’t let the immigration process overwhelm you—our experts ensure a smooth and stress-free experience!

Final Thoughts

The immigration medical exam is a crucial step in the green card or visa application process. By understanding what’s included and preparing properly, you can avoid delays and ensure compliance with USCIS requirements.

If you have any questions, LocalMD is here to help—contact us today to schedule your immigration physical!

FAQs:

1. Who performs the immigration medical exam?

Only a USCIS-approved civil surgeon can conduct the exam. Regular family doctors cannot complete Form I-693.

2. How long does the immigration medical exam take?

The exam typically takes 30-60 minutes, but lab results (like blood tests) may take a few days.

3. What if I’m missing required vaccinations?

The civil surgeon can administer missing vaccines during your visit, but additional fees may apply.

4. Can I eat before the immigration medical exam?

Yes, unless you’re getting blood work done—check with your doctor beforehand.

5. What happens if I fail the immigration medical exam?

If you have a disqualifying condition, you may need treatment or apply for a waiver before reapplying.